| NPI | 1235645771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA D JOSEPHS CEO 757-536-3257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 152304-8049) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |